Nurse Navigator

Company: Mary Free Bed Rehabilitation
Location: Saginaw
Posted on: January 16, 2020

Job Description:

SUMMARY

We have the great privilege of helping patients and families re-build their lives. It's extraordinarily meaningful work and the reason we greet the day with optimism and anticipation. When patients \\"Ask for Mary,\\" they experience a culture that has been sculpted for more than a century. Our hallmark is to carefully listen to patients and innovatively serve them. This is true of every employee, from support staff and leadership, to clinicians and care providers.

Mary Free Bed is a not-for-profit, nationally accredited rehabilitation hospital serving thousands of children and adults each year through inpatient, outpatient, sub-acute rehabilitation, orthotics and prosthetics and home and community programs. With the most comprehensive rehabilitation services in Michigan and an exclusive focus on rehabilitation, Mary Free Bed physicians, nurses and therapists help our patients achieve outstanding clinical outcomes. The growing Mary Free Bed Network provides patients throughout the state with access to our unique standard of care.

MISSION STATEMENT:
Restoring hope and freedom through rehabilitation.

DIVERSITY AND INCLUSION
Mary Free Bed values diversity and inclusion among patients, families and staff. We strive to hire people who reflect the communities we serve. Our employees will serve all patients, families and each other with dignity and respect.

SUMMARY:
Nurse Navigators at Mary Free Bed are key members of the multi-disciplinary team that collaborates to provide concierge level member navigation services. Within the c2health program the nurse navigator; assesses, plans, implements, evaluates, coordinates, directs, and delegates care for multiple insured members. Using an individualized care approach, each nurse navigator develops relationships with insured employees and their families, that enhance the quality of care provided and directs others on the care team to do the same.

The c2health program is a business model for self-insured companies that provides care navigation services to ease access to health care through a single-point concierge service. Goals include fast and efficient access to care by the most appropriate provider and setting, single and personalized service for the insured, promoting awareness of cost and provider options, lower episodic costs, motivate members toward wellness and well-being, support best possible outcomes, and maintain high user satisfaction. The c2health Nurse Navigator maintains current with clinical practice through continuing education, research, and program enhancement.

ESSENTIAL JOB RESPONSIBILITIES:

* Provides care navigation services to insured employees and their family members:

* Completes an initial assessment of current and past health history (physical, mental and psychosocial health) for each insured individual

* Determine member health risk

* Develops a plan of care to lessen and avoid worsening health risk

* Determines potential future needs and develops a plan to address those needs

* Receives telephone calls or other inquiries from the employee or family, evaluates the current problem and develops a plan of care accordingly

* Collaborates with third party administrator (TPA) and other external service providers

* Assists with accessing appropriate level of care

* Follows up post access to care to evaluate outcomes

* Provides oversight of chronic medical conditions

* Researches best practice, high quality care

* Investigates costs associated with all aspects of care (procedures, labs, medications, surgeries, etc.)

* Coordinates referrals as needed

* Researches information on health concerns

* Advocates for the most appropriate care at the most appropriate time

* Empowers members through information and support to make informed decisions

* Communicate with members to promote participation in the development and execution of the plan of care.

* Provides education to facilitate understanding of medical condition and treatment plan developed by medical team (primary care provider, specialist, etc.)

* Guides members through their health care journey, simplifying the labyrinth of health care while being a liaison with; providers, insurance companies, health systems and supplier of health care to maximize cost, quality and satisfaction

* Functions as an advocate and maintains confidentiality. Educate the member, the family, and members of the health care delivery team about treatment options, community resources, insurance benefits, psychosocial concerns, case management, etc., so that timely and informed decisions can be made.

* Promote member self-advocacy, choice and self-determination. Educate members and their families regarding the appropriate use of health care services. Improve quality of care and maintain cost effectiveness on a case-by-case basis.

* Documents member health status, progress toward goals, outcomes and navigation touch points through an electronic medical record.

* Participates in orientation and training of new staff

* Supervises staff and student internships as appropriate

* Participates in program enhancement and service recovery as needed

* Supports program operations as assigned

ESSENTIAL JOB QUALIFICATIONS (KNOWLEDGE, EDUCATION, AND TRAINING REQUIREMENTS):

* Registered Nurse, Bachelor of Science in Nursing from accredited school

* Possesses and demonstrates competence in identified area of clinical expertise

* Current professional license with the State of Michigan

* Current Basic Life Support (BLS) certification

* Five years of experience as a nurse in an acute health care setting

* Three years of experience as a nurse care manager in a health care setting preferred

* Excellent verbal and written communication skills, expressing self in a clear, concise, and professional manner.

* Ideally Proficient or higher in a second language (example: Spanish)

* Ability to work collaboratively and effectively with the interdisciplinary team members

* Excellent time management and organizational skills. Function in a self-directed manner.

* Ability to make quality, collaborative decisions in short timeframes.

* Analytical and strong problem solving skills.

* Ability to work effectively and efficiently under tight deadlines, high volumes and multiple interruptions.

* Physical Demands:

* Able to exert up to 10 pounds of force occasionally (up to 1/3 of the time)

* To lift, carry, push, pull, up to 10 pounds occasionally

* To sit for the majority of the time, but may involve brief periods of time involving walking or standing

* To use keyboard frequently (1/3 to 2/3 of the time)

Mary Free Bed is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, age, genetic information, veteran status, disability or other legally protected characteristic.

Keywords: Mary Free Bed Rehabilitation, Saginaw , Nurse Navigator, Healthcare , Saginaw, Michigan